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121. Training Guide: Using Simulation in TeamSTEPPS Training (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/simulation/traininggd-update.pdf
     February 01, 2011 - Check to ensure the slides can be seen clearly from the back of the room. … Explain that, as a training approach, simulation offers an opportunity to teach and engage health care … (3) It is helpful to break a clinical procedure into chunks and embed a trigger into each of the chunks … or “What methods would you use to obtain the frequency count?” … • [When rolling out this training, add here content objectives related to the procedure that is the

122. Patient Safety Tools | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html
     June 01, 2022 - well as across geographic areas, including inpatient mortality for medical conditions and surgical procedures … The toolkit is a general guide to using improvement methods and focuses on the 17 Patient Safety Indicators … video excerpts of 50 actual chest tube insertions to illustrate problems that can occur during the procedure … Medical Association to explain the questions patients should ask their doctors about medicines, tests, procedures … www.ahrq.gov/research/findings/evidence-based-reports/makinghcsafer.html   Back

123. Section 4: Ways To Approach the Quality Improvement Process (Page 2 of 2) | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/cahps/quality-improvement/improvement-guide/4-approach-qi-process/sect4part2.html
     January 01, 2020 - As you work with any QI method, the key is to carefully choose strategies that have the best chance to … The goal of this project was to apply innovative systems change methods to strengthen FQHC operations … It uses a set of quality management methods and creates a special infrastructure of people within the … Training clinicians and staff in quality improvement methods. Team building. … quality-improvement/improvement-guide/4-approach-qi-process/sect4part2.html   Back

124. TeamSTEPPS 2.0: Module 8. Change Management | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps/instructor/fundamentals/module8/igchangemgmt.html
     March 01, 2019 - Strategy Say: An organization fosters a "culture of safety" with its practices, processes, and procedures … Think of the method you use to integrate lessons learned into your own process modification. … Will that method apply here? … New approaches and methods become part of a culture when they are effective. … www.ahrq.gov/teamstepps/instructor/fundamentals/module8/igchangemgmt.html   Back

125. Evaluating Your TeamSTEPPS Intervention To Improve the Safety of LEP Patients | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps/lep/evalguide/lepevalguide.html
     December 01, 2012 - The teaching methods and aids were used effectively 1 2 3 4 5 3. … The interpreter should: Say to the nurse, "Let me check back with you. … Chin, let me check back with you. Do you understand how to take your medicine?" … Chin, let me check back with you. … Say to the nurse, "Let me check back with you. Do you think Mr.

126. Readiness Assessment Survey (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/stafftrainhandouts_all.pdf
     September 01, 2012 - Say to the nurse, “Let me check back with you. … Chin, let me check back with you. … or improper use of medications or serious medication errors; improper preparation for tests and procedures … The teaching methods and aids were used effectively 1 2 3 4 5 3. … Chin, let me check back with you.

127. Planning Grants Final Evaluation Report: Longitudinal Evaluation of the PSML Reform Demonstration Program (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patient-safety-resources/resources/candor/psml-planning-grants-final-report.pdf
     May 01, 2016 - were seeking input from others (65%), establishing the patient role in decisionmaking (53%), using teach-back … A-8 | P a g e Exploring Resolution Methods The third category, Exploring Resolution Methods, … As the final step, researchers pilot tested a customized TeamSTEPPS® training designed to teach patients … and would be easy to use, they would be comfortable using the tools, and it would be beneficial to teach … were seeking input from others (65%), establishing the patient role in decisionmaking (53%), using teach-back

128. Health Care Simulation to Advance Safety | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/research/findings/factsheets/errors-safety/simulproj15/index.html
     August 01, 2018 - A further feature is that difficult elements of a procedure or protocol can be selectively practiced … settings, a high performance standard might entail performing a complex procedure without a significant … to vary before learners meet the performance standard (e.g., one learner may be able to perform the procedure … Comparison of two standard-setting methods for advanced life support training. … research/findings/factsheets/errors-safety/simulproj15/index.html   Back

129. Readiness Assessment Survey (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/handouts/trainershandouts_all.pdf
     September 01, 2012 - Say to the nurse, “Let me check back with you. … Chin, let me check back with you. … or improper use of medications or serious medication errors; improper preparation for tests and procedures … The teaching methods and aids were used effectively 1 2 3 4 5 3. … Chin, let me check back with you.

130. AHRQ’s Safety Program for Nursing Homes: On-Time Pressure Ulcer Prevention | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/patient-safety/settings/long-term-care/resource/ontime/pruprev/timeline.html
     December 01, 2014 - Staff may choose to go back to the medical record to confirm that data on the report are consistent. … develops a plan to incorporate implementation strategies for report use into facility policies and procedures … patient-safety/settings/long-term-care/resource/ontime/pruprev/timeline.html   Back

131. Improving Patient Safety Systems for Limited English Proficiency Patients
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/hospitalguide/lephospitalguide.pptx
     January 01, 2011 - readmission due to LEP patients’ greater difficulty understanding instructions, such as: Preparing for a procedure … Ineffective or improper use of medications or serious medication errors Improper preparation for tests and procedures … what constitutes a patient safety event (including near misses) and how to report them Consider other methods … medical interpreters, or both Provide patients with written materials, such as informed consent forms or procedure … Require presence of qualified interpreters Provide translated materials in preferred language Use “teach-back

132. Improving Patient Safety Systems for Limited English Proficiency Patients: A Guide for Hospitals (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/education/curriculum-tools/teamstepps/lep/hospitalguide/lephospitalguide.pdf
     January 01, 2011 - readmission due to LEP patients’ greater difficulty understanding instructions, such as:  Preparing for a procedure … or improper use of medications or serious medication errors  Improper preparation for tests and procedures … constitutes a patient safety event (including near misses) and how to report them  Consider other methods … interpreters, or both  Provide patients with written materials, such as informed consent forms or procedure … Require presence of qualified interpreters  Provide translated materials in preferred language  Use “teach-back

133. Healthcare Research and Quality Act of 1999 (continued 2) | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/policymakers/hrqa99c.html
     October 01, 2014 - assistance whose direct costs will not exceed $100,000, the Director may make appropriate adjustments in the procedures … or for the Agency for the purpose described in section 901(b), the Director shall establish standard methods … improvement of health care delivery and the general public, and undertake programs to develop new or improved methods … https://www.ahrq.gov/policymakers/hrqa99c.html   Back to Top

134. Improving Patient Safety Systems for Limited-English-Proficient (LEP) Patients: A Guide for Hospitals | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/teamstepps/lep/hospitalguide/lephospitalguide.html
     December 01, 2012 - Improper preparation for tests and procedures. Poor or inadequate informed consent. … Consider other methods of identifying errors outside of standard reporting. … Provide patients with written materials, such as informed consent forms or procedure preparation instructions … Use "teach-back" to confirm patient understanding. … //www.ahrq.gov/teamstepps/lep/hospitalguide/lephospitalguide.html   Back

135. TeamSTEPPS™: Team Strategies and Tools to Enhance Performance and Patient Safety (pdf file)
     monahrq.ahrq.gov/downloads/pub/advances2/vol3/advances-king_1.pdf
     April 07, 2008 - • Recognition by potential back-up providers that there is a workload distribution problem in … For example, shared mental models were viewed as an outcome of using monitoring and back-up behaviors … At the end of the session, participants are provided an opportunity to practice teach a module of the … Application of cognitive, skill-based, and affective theories of learning to new methods of training … At the end of the session, participants are provided an opportunity to practice teach a module of the

136. Meeting Minutes, November 2016 | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/news/events/nac/2016-11-nac/nacmtg1116-minutes.html
     August 01, 2017 - It creates materials to teach and train health care systems and professionals to catalyze improvements … It can seek to determine how collected information can be fed back into a system to improve care. … How might those data be funneled back to health care? Dr. … Many methods are reusable. … We need mixed methods and respect for the context. Dr.

137. AHRQ Safety Program for Perinatal Care: Labor and Delivery Unit Safety Obstetric Hemorrhage (doc file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/modules/strategies/labor-delivery-unit/tool_obhemorrhage.docx
     May 01, 2017 - · Nonstandardized, informal, visual estimation methods typically underestimate blood loss, resulting … delayed recognition and management of obstetric hemorrhage.19,20 · The routine use of quantitative methods … intervention, though few studies have formally evaluated whether this approach improves outcomes.10,21-23 · Methods … management, · being aware of what is going on and what is likely to happen next, · verifying and checking back

138. Module 5: Resident and Family Engagement: Facilitator Notes | Agency for Healthcare Research and Quality
     monahrq.ahrq.gov/hai/quality/tools/cauti-ltc/modules/implementation/long-term-modules/module5/mod5-facguide.html
     March 01, 2017 - Use teach-back methods to confirm understanding. … that a resident and family adviser is a partner and team member when developing facility policies, procedures … Advisers can effectively collaborate with staff to develop resident- and family-centered policies and procedures … Staff may use active listening and repeat back to validate that the information the adviser is trying … modules/implementation/long-term-modules/module5/mod5-facguide.html   Back

139. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_fullcolor.pdf
     May 01, 2017 - continue efforts toward standardized practices, nurse educators developed online educational modules to teach … …It’s just going to cycle back around again.” … One component of this index, the Unanticipated Operative Procedure measure, decreased by 51 percent … uterine rupture during labor, unplanned maternal admission to ICU, birth trauma, unanticipated operative procedure … The L&D local facilitator is coaching leaders on other units to teach TeamSTEPPS and run their own localized

140. AHRQ Safety Program for Perinatal Care: Experiences from the Frontline (pdf file)
     monahrq.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/hais/tools/perinatal-care/perinatal_care_toolkit_lowvision.pdf
     May 01, 2017 - continue efforts toward standardized practices, nurse educators developed online educational modules to teach … …It’s just going to cycle back around again.” … One component of this index, the Unanticipated Operative Procedure measure, decreased by 51 percent … uterine rupture during labor, unplanned maternal admission to ICU, birth trauma, unanticipated operative procedure … The L&D local facilitator is coaching leaders on other units to teach TeamSTEPPS and run their own localized